Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Maryland for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Maryland only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Maryland (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Dr.sivakumar Pediatric Dental Center LLC (NPI 1649441494)

Field	Value
Entity Type	Organization
Organization	Dr.sivakumar Pediatric Dental Center LLC
Address	52 Thomas Johnson Dr
City	Frederick
State	MD
ZIP	21702
Taxonomy	Pediatric Dentistry
NPI Enumerated	March 20, 2008

Payer Source	Total Paid
Medicaid	$14.7M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	18,270	$120	$2.3M
D1120	Prophylaxis–child	32,030	$40	$1.4M
D2930	N/A	7,380	$160	$1.2M
D2391	Resin‑based composite – one surface, posterior	11,710	$100	$1.1M
D0120	Periodic oral evaluation - established patient	36,340	$30	$1.1M
D1351	Sealant - per tooth	29,840	$30	$1M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	7,240	$110	$789.5K
D1208	Topical application of fluoride - excluding varnish	28,940	$20	$665.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	8,850	$60	$531.1K
D9248	N/A	2,820	$180	$518K

Showing 1–10 of 33

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.

Claims Volume vs. Maryland Distribution

Dr.sivakumar Pediatric Dental Center LLC — 23 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	11	140	530	$160	$362K
D2392	Post 2 surface resin‑based composite	6	670	330	$120	$172.5K
D1351	Sealant - per tooth	13	410	890	$30	$165.8K
D1120	Prophylaxis–child	14	820	450	$40	$141.3K
D9248	N/A	3	60	250	$180	$124.5K
D2391	Resin‑based composite – one surface, posterior	8	510	250	$90	$106K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	8	390	250	$100	$93.2K
D2393	Resin-based composite, three surfaces, posterior	10	340	160	$160	$89.1K
D0120	Periodic oral evaluation - established patient	10	1,150	500	$30	$81.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	42	870	700	$20	$79.7K

Showing 1–10 of 33

Nearby Providers

Other providers in the same ZIP code as Dr.sivakumar Pediatric Dental Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Frederick County Public Schools	MD	Local Education Agency (LEA)	$0	$21.3M
Concerted Care Group Frederick LLC	MD	Methadone Clinic	$290K	$7.4M
Frederick Pediatric Associates P.A.	MD	Pediatrics Physician	$0	$7.6M
Potomac Case Management Services	MD	Case Management Agency	$0	$6.7M
Amr Hegazi	MD	Hematology & Oncology Physician	$2.3M	$0
Grant Louie	MD	Rheumatology Physician	$2.1M	$0
Sadaf Taimur	MD	Hematology & Oncology Physician	$1.7M	$0
Frederick Surgical Center, LLC	MD	Ambulatory Surgical Clinic/Center	$1.7M	$0
Gregory Gagnon	MD	Radiation Oncology Physician	$1.6M	$0
Elhamy Eskander	MD	Medical Oncology Physician	$1.5M	$0

Dr.sivakumar Pediatric Dental Center LLC — Billing Profile & Reimbursement Data

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Dr.sivakumar Pediatric Dental Center LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References